Pageant Date: Saturday, April 18th Place: Middlesboro High School Gymnasium Time: 6:00 pm Entry Deadline: Thursday, April 9th Entry Fee: $45.00 Check or money order only Photogenic (optional): $15.00 Please submit a 5x7 or 8x10 with application
Age Divisions 1-3 years Wee Miss 4-6 years Tiny Miss 7-10 years Little Miss 11-13 years Jr. Miss 14-18 years Miss
Each contestant will be assigned to the appropriate age division
according to the contestants age on day of pageant Applications Pickup and Drop off Points: Middlesboro High School, Middlesboro Elementary School Middlesboro ARH Outpatient Pharmacy Signatures Hair Salon Please make checks payable to Miss Middlesboro Pageant All proceeds go to MHS Football Team
Rules and Regulations:
Parents of contestants must read the following information and sign for official application to be considered. Parents/Guardians must be able to provide proof of residency Contestants must have a current address within Middlesboro City Limits and/or attend Middlesboro City School, Gateway or St. Julians. All children under the age of 6yrs are eligible regardless of address Contestants must compete within their correct age group. Applicants 19yrs old who are still currently enrolled in high school ARE eligible Applicants must have never been married or have a child Formal Wear only all age divisions Miss Middlesboro contestants will be asked a question about current events or our community Mandatory rehearsal Friday, April 17th Application fees are non-refundable Miss Middlesboro reserves the right to change rules and regulations Waiver and Release of Liability I acknowledge and assume the risks of participating in The Miss Middlesboro Pageant. I waive, release and discharge from any and all claims or liabilities for death personal injury or damages of any kind. I agree not to sue any persons or entities involved with the pageant for any of the claims or liabilities that I have waived, released or discharged. My signature certifies that I have read and I understand the information above, and I am eighteen (18) years of age. __________________________ __________________________________________ Printed Name Participants Signature & Date If under the age of eighteen: I am the parent or legal guardian of the minor named, and I execute the foregoing Waiver and Release on behalf of them. I confirm that I have the legal authority to act for and on behalf of the minor named herein. __________________________ ______________________________________________ Printed Name Parent/Guardians Signature & Date For any additional information please visit our Facebook page at Miss Middlesboro 2015 Need more help please contact Natasha Fuson at (606) 269-9590